1. Bloodborne Pathogens First Responder

2. Know the regulation v 29 CFR 1910.1030 1a

3. Epidemiology & symptoms of bloodborne diseases v Bloodborne pathogens v Decontamination v Exposure incident v Occupational exposure 2a

4. Epidemiology & symptoms of bloodborne diseases v Parenteral v Potentially infectious materials v Universal precautions 2b

5. How diseases are contracted v Workplace situations v Non-workplace situations v Routes of occupational exposure 3a

6. Exposure control plan v Evaluation of risk v Job classifications with: Exposure to bloodExposure to blood Potentially infectious materialsPotentially infectious materials 4a

7. Exposure control plan v Control plans vary, but also have common elements v Implementation schedules 4b

8. Exposure control plan v Communicating hazards to employees: Hepatitis BHepatitis B VaccinationVaccination Post-exposure follow-upPost-exposure follow-up RecordkeepingRecordkeeping 4c

9. Exposure control plan v Implementation of: Engineering controlsEngineering controls Work practice controlsWork practice controls PPEPPE Housekeeping proceduresHousekeeping procedures Evaluation of exposure incidentsEvaluation of exposure incidents 4d

10. Recognize potential exposures v Blood and infectious materials at accident scenes v Primary screening v Primary assessment 5a

11. Engineering and controls v Primary methods of controlling transmission of HBV and HIV Disposable airway equipmentDisposable airway equipment Mouth-to-mouth resuscitation devicesMouth-to-mouth resuscitation devices 6a

12. Handwashing facilities v Locations v Portable facilities 7a

13. Handwashing facilities v Procedures Remove glovesRemove gloves Wash hands immediatelyWash hands immediately Use antiseptic cleansersUse antiseptic cleansers 7b

14. Handwashing facilities v Where there is a potential for exposure, prohibit: Eating and drinkingEating and drinking Applying cosmetics or lip balmApplying cosmetics or lip balm Handling contact lensesHandling contact lenses 7c

15. Work practices v Reduce the likelihood of exposure by altering the manner in which a task is performed Follow universal precautionsFollow universal precautions HandwashingHandwashing Minimizing splashing and spraying of bloodMinimizing splashing and spraying of blood 8a

16. Housekeeping v Minimize the risk of occupational exposure v Keep work areas and equipment clean and decontaminated v Establish cleanup procedures for blood and bodily fluids 9a

17. Housekeeping v Establish procedures for handling sharps v Watch for illegal injectionable drugs Parking lotsParking lots Storage areasStorage areas Construction sitesConstruction sites 9b

18. Personal protective equipment v Best defense against unexpected hazards v Must be used when possibility exists for exposure to blood or bodily fluids 10a

19. Personal protective equipment v Must not allow blood or infectious matter to pass through to employees: ClothesClothes SkinSkin EyesEyes MouthMouth 10b

20. Proper use of PPE v Limitations of PPE v Replacements v Removal 11a

21. Proper use of PPE v Handling v Decontamination and disposal v Keep PPE clean 11b

22. Hepatitis B vaccine v Efficacy v Safety v Method of administration v Benefits of the vaccine 12a

23. Responding to an exposed worker v Review worst-case scenario v First responders may be involved: as one who has been exposed; oras one who has been exposed; or as a witness or participant where several employees have been injuredas a witness or participant where several employees have been injured 13a

24. Responding to an exposed worker v Arrange for immediate and confidential medical evaluation v Document how the exposure occurred v Identify and test the source individual, if possible 13b

25. Responding to an exposed worker v Test the exposed employee’s blood, if consent is obtained v Provide counseling v Evaluate any reported illness 13c

26. Post-exposure evaluation and follow-up v A confidential medical evaluation and follow-up is available to employees 14a

27. Signs and labels v Biohazard symbol v Red bags and containers can be used as a substitute for labels 15a

28. Medical records v Must be made available to employee 16a

29. Medical records should include: v Employee name and social security number v Hepatitis B vaccination status v Results of all exams, testing, follow-ups 16b

30. Medical records should include: v Copy of physician’s professional opinion v Copy of information provided to healthcare professional 16c

31. Regulatory information v 29 CFR 1910.1030(c)(1)(iii) v Exposure control plans 17a

32. Summary of key points v Written exposure control plan v Training v Engineering controls v Work practices 18a

33. Summary of key points v PPE v Housekeeping v Hepatitis B vaccine v Exposure incident response 18b

34. Summary of key points v Routes of exposures v Methods of assessment for bloodborne pathogen risk v Methods of protection while delivering first aid 18c